Legg-Calvé-Perthes disease

Case contributed by Dr Domenico Nicoletti

Presentation

Right hip pain for two weeks. Limping patient.

Patient Data

Age: 7 years
Gender: Male

Pelvic x-ray

Modality: X-ray

Thickened and slightly reduced height of right femoral head.

 

Pelvic MRI

Modality: MRI

Depression of right femoral head with bone marrow edema. There is joint effusion.

Case Discussion

Unilateral or bilateral avascular necrosis (AVN) of the femoral head in children is more common in males. The initial symptoms are usually a limping gait, pain in the hips, thighs and knees, and decreased hip mobility. During the illness, a discrepancy can be observed in leg length and muscle atrophy in the area surrounding the hip.

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Case Information

rID: 48457
Case created: 7th Oct 2016
Last edited: 10th Oct 2016
Inclusion in quiz mode: Excluded

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